GOLDEN VALLEY RESIDENCE NPI 1013089911

NPI Information

  • NPI: 1013089911
  • Provider Name: GOLDEN VALLEY RESIDENCE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 24D0870298
  • Address: 1940 MAJOR DR N
    GOLDEN VALLEY, MN
    ZIP 55422
  • Phone: (763) 521-4839

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NPI Details

GOLDEN VALLEY RESIDENCE is an assisted living facility in Golden Valley, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GOLDEN VALLEY RESIDENCE NPI is 1013089911. The provider is registered as an organization entity type.

The provider's business location address is:

1940 MAJOR DR N
GOLDEN VALLEY, MN
ZIP 55422-155
Phone: (763) 521-4839
Fax: (763) 521-4148

The provider's authorized official is Marcia Dooner .
The authorized official title is Administrator and has the following contact phone number (763) 550-1774.

The CLIA number assigned to this NPI record is 24D0870298 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility24404MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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